Blog

This healthy 34YO man noticed sudden vision loss in his left eye following heavy lifting 2 days earlier. Vision was 20/20 in his normal OD and 20/200 OS. Color photography shows a diffuse network of markedly dilated, tortuous vessels involving the optic disc and posterior pole, extending into the peripheral retina, with an associated small… Read More

This 81YO male presented for his yearly examination without new complaints. Vision in his left eye was stable at 20/200 due to a chronic macular hole. Triton color photography shows a full-thickness macular hole with a surrounding large rim of pigment loss. On slit lamp biomicroscopy, a partial PVD extended to the nerve with an… Read More

This 78YO female was on Plaquenil (hydroxychloroquine) for 7 years for her “arthritis.” After noticing progressive reading difficulties, she decided to stop this medicine about 3 months earlier. She was screened annually by her local eye doctor, who referred her for possible toxicity. Vision was 20/40 OD and 20/30 OS. Optos color imaging and OCT… Read More

This 74YO female was referred to us in April 2015 for asymptomatic age-related macular degeneration. Vision was 20/20 OD and 20/25 OS. Fundus photography shows bilateral foveal yellowish pigmented lesions consistent with adult-onset foveomacular vitelliform dystrophy, which hyper-autofluoresce. On OCT, these appear as focal subfoveal hyperreflective lesions that indent the overlying retina. She was referred… Read More

This 32YO male with known Marfan’s syndrome presented with one month of vision loss in his left eye. Examination revealed pathological myopia with bilateral spontaneously dislocated cataracts and a total rhegmatogenous retinal detachment (RRD) OS. Best-corrected vision was 20/80 OD and light perception OS. Ultrawidefield photography shows a superior >270-degree giant retinal tear, total RRD,… Read More

This 63YOF presented with a week of vision loss in her right eye. Optos color RGB imaging shows a temporal macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) with a large star fold just posterior to a retinal tear. She was scheduled for emergent vitrectomy. Learning Points: PVR, which consists of cellular membranes… Read More

This 81YO female was referred for asymptomatic retinal findings. Vision was 20/30 OD and 20/30 OS. Triton color imaging OS shows several yellowish subretinal pigment clumps in the superior fovea. Swept-source OCT through the central macula shows an acquired vitelliform lesion (AVL). Scans through each of the pigment clumps show coarse intraretinal hyperreflective foci. Some… Read More

This 42YO female immediately lost vision in her right eye 4 days earlier following pterygium excision surgery performed under peribulbar anesthesia elsewhere. Vision in our office was light perception. Fundus photography shows an opaque retina throughout the posterior pole consistent with an acute central retinal artery occlusion (CRAO). There is a horizontal retinal fold throughout… Read More

This 65YO male presented for evaluation for cataract surgery. He underwent external beam radiation for throat cancer, predominantly on the right side, 20 years earlier. Vision was hand motion OD and 20/200 OS. Color photography OD shows severe panretinal ischemia with the major vessels showing absent blood columns except for some abnormal preserved vessels with… Read More

This 20YO male developed sudden, painful vision loss in his right eye while welding. Vision was counting fingers. Examination revealed a corneal laceration with a metal wire piercing the iris temporally and stuck in the superior retina with a localized retinal detachment. Emergent surgery included corneal wound repair, lensectomy, and vitrectomy with removal of the… Read More